Provider Demographics
NPI:1326423310
Name:WILLPOWER BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:WILLPOWER BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-574-4400
Mailing Address - Street 1:520 SNYDER ST STE 108
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-3834
Mailing Address - Country:US
Mailing Address - Phone:318-574-4400
Mailing Address - Fax:318-574-4407
Practice Address - Street 1:520 SNYDER ST STE 108
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-3834
Practice Address - Country:US
Practice Address - Phone:318-574-4400
Practice Address - Fax:318-574-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health